Provider Demographics
NPI:1407316235
Name:GARNER, CANDIN (OTR/L, LMT, CDT)
Entity type:Individual
Prefix:
First Name:CANDIN
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:OTR/L, LMT, CDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8380 W EMILE ZOLA AVE UNIT 5024
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85385-2002
Mailing Address - Country:US
Mailing Address - Phone:480-227-9072
Mailing Address - Fax:
Practice Address - Street 1:8380 W EMILE ZOLA AVE UNIT 5024
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85385-2002
Practice Address - Country:US
Practice Address - Phone:480-227-9072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-24977225700000X
AZOTH-009135225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist